Responsible for filing insurance claims to third party payers in a timely manner. Also, responsible for followup of unpaid claims in an effective manner.

Responsibilities:

• Is responsible for filing insurance claims for all third party payers. Addresses any edits pertaining to billing correctly and accurately, reports repetitive edits to management for system correction.
• Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism. Adheres to the departmental dress code policy, maintaining a professional appearance and positive attitude.
• Analyzes daily electronic billing reports for errors. Identifies claims with errors preventing acceptance and corrects and rebills these accounts. Performs daily reconciliation of claim submission and receipt
• Proactively addresses problems and issues encountered in billing or follow-up in order to resolve accounts in a timely manner.
• Follows up on unpaid or denied claims. Actively works on assigned queue incorporating high dollar report and denial report into the daily queue.
• Stays informed of all rules and regulations governing billing and reimbursement of 3rd party payors. Utilizes tools available from each payors including; websites, payor meetings, educational seminars and provider reps.
• Processes credit balances and issues refund requests where appropriate.
• Promotes positive relationships among co-workers. Communicates effectively within the department and keeps management informed on key issues.
• Performs other duties as assigned.

Education:

High School diploma

Experience:

1-3 yrs. office experience, preferably in medical related field or equivalent education.

Training/License:

Typing, data entry, general clerical and strong mathematical skills required. Knowledge of medical terminology, coding, medical insurance and familiarity with medical field preferred. Ability to use computers and modern office equipment.

About Us:

HealthAlliance Hospital